DR. KEVIN WALLACE CROFT M.D.
NPI 1245245059
Ophthalmology in Durant, OK

Active since July 30, 2006PECOS EnrolledAccepts Medicare Assignment
65.3/100
CMS Quality Rating
5389 N 1ST AVE, DURANT, OK 74701(580) 924-5211(580) 924-6351 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2018, Jan 11, 2016 (2 updates tracked since 2016).

About Dr. Kevin Wallace Croft M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN WALLACE CROFT M.D. (NPI 1245245059) is an individual ophthalmology provider in Durant, Oklahoma, licensed in Oklahoma (19261) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (1989).

NPPES Registry Identity

NPI1245245059
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. KEVIN WALLACE CROFTCredential: M.D.
Location Address5389 N 1ST AVEDurant, OK 74701
Mailing Address5389 N 1st AveDurant, OK 74701-2599 · (580) 924-5211 · Fax (580) 924-6351
Fax(580) 924-6351
Sole ProprietorYes
Medical School CMSCreighton University School Of MedicineGraduated 1989
Enumeration DateJuly 30, 2006
Last NPPES UpdateMay 22, 20182 updates tracked since enumeration
NPI 1245245059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in OK · 19261
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
5389 N 1ST AVE, Durant, OK 74701

Other Identifiers 2

Medicaid100744780AOK
Medicaid100040310COK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin Wallace Croft M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991741464
PECOS Enrollment IDI20101104000384
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
4,671 services17 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
527 services440 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
272 services163 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
260 services149 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
227 services165 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
220 services220 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

65.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality74.03
Improvement Activities40
Cost18.98

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%67 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
100%25 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%657 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
5389 N 1ST AVE
DURANT, OK 74701
Clinic/Center (Medical Specialty)
5389 N 1ST AVE
DURANT, OK 74701
Clinic/Center (Ophthalmologic Surgery)
5389 N 1ST AVE
DURANT, OK 74701
Ophthalmology
5389 N 1ST AVE
DURANT, OK 74701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Croft's NPI number?

The NPI number for Kevin Croft is 1245245059. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Where is Kevin Croft located?

Kevin Croft practices at 5389 N 1st Ave, Durant, OK 74701. The listed phone number is (580) 924-5211.

What is Kevin Croft's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kevin Croft enrolled in Medicare?

Yes. Kevin Croft is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kevin Croft accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kevin Croft as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Croft was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.